During perioperative management after operations performed under general anesthesia, serious complications caused by delays in the treatment of patients with difficult airway maintenance are a concern.
Although many studies have reported that surgery is beneficial for patients with limited mouth opening, general anesthesia is frequently required for such operations. Difficulties with intratracheal intubation can be expected in patients with limited mouth opening. Hence, face masks or laryngeal masks are often used for airway management in these patients. However, intratracheal intubation is necessary for intraoral surgery, so the postoperative timing of the extubation must be carefully determined.
Here, we report the accomplishment of a successful perioperative management by a collaboration between medical and dental departments in a patient with severe limited mouth opening and micrognathia who underwent mobilization of the right temporomandibular joint and a dissection of bilateral processus muscularis.
